that in most patients already having a spontaneous tenotomy, the tendon is also not available ( 30 , 31 ). Finally, tendon transfer may restore power and function in non-repairable and dysfunctional tears ( 10 ). Tendon transfers for massive cuff
Jeremie M. Axe
Tendon transfers of the shoulder can be technically challenging, but if performed well can significantly improve the quality of a patient’s life. Surgical skill is essential, but just as important is proper patient selection. Despite advances in
Marko Bumbasirevic, Tomislav Palibrk, Aleksandar Lesic, and Henry DE Atkinson
nerve can be repaired by direct suturing or nerve grafting. Other reconstructive procedures such as tendon transfers may also become necessary to overcome any permanent nerve dysfunction. Nerve transfers and functional free muscle transfers are currently
Jonathon C Coward, Stefan Bauer, Stephanie M Babic, Charline Coron, Taro Okamoto, and William G Blakeney
.e. not caused by pain), but further evidence is needed on this point. Tendon transfer The use of tendon transfers can be considered in younger patients to improve rotation if the rotator cuff tear is irreparable ( 28 ). There is limited evidence
Patrick Goetti, Patrick J. Denard, Philippe Collin, Mohamed Ibrahim, Pierre Hoffmeyer, and Alexandre Lädermann
N: –0.9 ± 5.3 mm vs. 4.0 ± 5.2 mm, P = .005; 40 N: 2.1 ± 6.6 mm vs. 6.0 ± 5.7 mm, P = .035). 31 However, similar to previous biomechanical observations regarding isolated conjoint tendon transfer in 20% glenoid defects, DAS leads to a relevant
Nuri Aydin, Mahmut Enes Kayaalp, Mustafa Asansu, and Bedri Karaismailoglu
procedures such as subscapularis tendon transfer, hemiarthroplasty and TSA. Reverse Hill Sachs lesions > 25% of the humeral head articular surface in size are often unstable after closed reduction and also require surgical intervention. Open reduction and
Carlos Maynou, Christophe Szymanski, and Alexis Thiounn
been described including soft-tissue release or lengthening and tendon transfers, hindfoot or midfoot osteotomy, or arthrodesis. Soft-tissue procedures Initially, the deformities are flexible and reversible but if the muscle imbalance remains
Jimmy Wui Guan Ng, Yulanda Myint, and Fazal M. Ali
posterior tibial tendon transfer. Exploration and neurolysis of the CPN is routinely performed as part of the approach during posterolateral corner repair/reconstruction and helps to avoid iatrogenic injury. 13 There is no evidence in the literature to
Deepak Samson, Chye Yew Ng, and Dominic Power
grafting, nerve transfer and tendon transfer. The challenge for the treating orthopaedic surgeon lies in recognising high-grade nerve injuries such that prompt treatment may be instituted, while the selected lower-grade injuries may be released in a timely
Alexandre Lädermann, Philippe Collin, George S. Athwal, Markus Scheibel, Matthias A. Zumstein, and Geoffroy Nourissat
physiotherapy, partial repair, tendon transfer, superior capsular reconstruction (SCR), subacromial spacer (balloon) or even a reverse shoulder arthroplasty (RSA) depending on multiple factors, including: geography, surgeon experience, implant costs, etc